MoonDragon's Health & Wellness
CIRRHOSIS OF THE LIVER
For "Informational Use Only".
For more detailed information, contact your health care provider
about options that may be available for your specific situation.
CIRRHOSIS OF THE LIVER DESCRIPTION
Cirrhosis of the liver is a degenerative inflammatory disease that results in hardening and scarring of the liver cells. The liver becomes unable to function properly due to the scarred tissue, which prevents the normal passage of blood through the liver.
CIRRHOSIS FREQUENT SIGNS & SYMPTOMS
In the early stages, symptoms of cirrhosis of the liver may include constipation or diarrhea, fever, upset stomach, fatigue, weakness, poor appetite, generalized itching, weight loss, enlarged liver, vomiting, red palms, and swelling of the abdomen and legs. Those in the later stages of the disease may develop anemia, bruising due to bleeding under the skin, jaundice and edema. People with alcoholic cirrhosis may experience no symptoms, or they may develop very slowly. About 30,000 American die each year from the disease.
MoonDragon's Health & Wellness: The Liver
Complications of cirrhosis are commonplace, and as the disease develops, the liver starts losing its ability to function. This can lead to:
- High blood pressure in the veins that connect the digestive system with the liver. This is called portal hypertension. It can cause thinning of the walls of the vessels, with possible rupture in the areas of the esophagus and stomach.
- Fluid buildup in the abdomen (called ascites), or in the legs or feet (called edema). Severe ascites can make breathing difficult by pressing on the diaphragm, and can lead to blood poisoning.
- Kidney failure, which often follows or is a result of liver disease.
- Encephalopathy, diseases of the brain, may develop because toxins that the liver usually removes are not removed. The toxins can then be carried to the brain to cause anything from anxiousness and drowsiness to disorientation and coma.
The most common cause of cirrhosis of the liver is excessive alcohol consumption. Liver disease resulting from alcohol intake is the 4th leading cause of death among people aged 25 to 64 in urban areas of the United States.
A less frequent cause of cirrhosis is the Hepatitis C Virus (HCV). It is estimated that 4 million people in the United States have hepatitis C, and about 85 percent of those will go on to develop chronic liver disease, including cirrhosis. Blood transfusions given before routine testing for HCV are presumed to be the main cause of the rising number of people infected with HCV. Malnutrition and chronic inflammation can also lead to liver malfunction.
A physical examination may reveal the following in a patient with cirrhosis:
- The cirrhotic liver is firm and often enlarged in early stages of the disease. The liver may feel rock-hard. (In advanced stages of cirrhosis, the liver may become small and shriveled.)
- If the abdomen is swollen, the health practitioner will check for ascites by tapping the flanks and listening for a dull thud and feeling the abdomen for a shifting wave of fluid.
- The health practitioner will also check for signs of jaundice, muscle wasting, and (in male patients) breast enlargement.
A NEDICAL HISTORY
A patientís medical history is another indicator of the risk for cirrhosis. Patients with a history of alcoholism, hepatitis B or C, or certain other medical conditions are at high risk.
OTHER DIAGNOSITIC TESTS
Other tests (blood tests, imaging tests, liver biopsy) may also be performed. The results of these tests along with the presence of specific complications (ascites and encephalopathy) are used for calculating the Child-Pugh Classification. This is a staging system (A to C) that helps health practitioners determine the severity of cirrhosis and predict the development of future complications.
A patient's medical history can reveal risk factors (such as alcoholism) that warrant screening for conditions such as hepatitis. Blood tests are also performed to measure liver enzymes associated with liver function. Enzymes known as aminotransferases, including aspartate (AST) and alanine (ALT), are released when the liver is damaged. Blood tests may also measure:
- Serum albumin concentration. Serum albumin measures protein in the blood (low levels indicate poor liver function).
- Prothrombin time (PT). The PT test measures in seconds the time it takes for blood clots to form (the longer it takes the greater the risk for bleeding).
- Alkaline phosphatase (ALP). High ALP levels can indicate bile duct blockage.
- Bilirubin. One of the most important factors indicative of liver damage is bilirubin, a red-yellow pigment that is normally metabolized in the liver and then excreted in the bile. In patients with hepatitis, the liver cannot process bilirubin, and blood levels of this substance rise, sometimes causing jaundice (commonly seen as a yellowing of the skin and the whites of the eyes).
Magnetic resonance imaging (MRI), computed tomography (CT), and ultrasound are all imaging techniques that are useful in detecting and defining the complications of cirrhosis, such as ascites and hepatocellular carcinoma. (However, screening patients with cirrhosis or hepatitis for hepatocellular carcinoma has not yet been proven to be beneficial. The National Cancer Institute recommends against it.) These imaging tests can also provide information on the extent of liver damage.
A liver biopsy is the only definite method for confirming a diagnosis of cirrhosis. It also helps determine its cause, treatment possibilities, the extent of damage, and the long-term outlook. For example, hepatitis C patients who show no significant liver scarring when biopsied may have a low risk for cirrhosis.
A biopsy involves a health practitioner inserting a biopsy fine needle, guided by ultrasound, to remove a small sample of liver tissue. Local anesthetic is used to numb the area. Patients may feel pressure and some dull pain. The procedure takes about 20 minutes to perform. The biopsy may be performed using various approaches, including:
Patients diagnosed with cirrhosis should be screened every 6 months to check for the development of liver cancer. Your health care practitioner will use both a blood test to check for levels of alpha-fetoprotein and an imaging test (ultrasound, MRI, or CT scan.)
- Percutaneous Liver Biopsy. This approach uses a needle inserted through the skin over the liver area to obtain a tissue sample from the liver. Various forms of needles are used, including those that use suction or those that cut out the tissue. This approach should not be used in patients with bleeding problems, and it must be used with caution in patients with ascites or severe obesity.
- Transjugular Liver Biopsy. This approach uses a catheter (a thin tube) that is inserted in the jugular vein in the neck and threaded through the hepatic vein (which leads to the liver). A needle is passed through the tube, and a suction device collects liver samples. This procedure is risky but may be used for patients with severe ascites.
- Laparoscopy. This procedure requires a small abdominal incision through which the health practitioner inserts a thin tube that contains small surgical instruments and a tiny camera to view the surface of the liver. This is generally reserved for staging cancer or for ascites of unknown cause.
OTHER TESTS USED TO DETECT COMPLICATIONS OF CIRRHOSIS
- ENDOSCOPY. Some health practioners recommend endoscopy for patients newly diagnosed with mild-to-moderate cirrhosis in order to screen for esophageal varices. (These are enlarged veins in the esophagus that increase the risk for bleeding). In this test, a fiber optic tube is inserted down the throat. The tube contains tiny cameras to view the inside of the esophagus, where varices are most likely to develop.
- PARACENTESIS. If ascites is present, paracentesis is performed to determine its cause. This procedure involves using a thin needle to withdraw fluid from the abdomen. The fluid is tested for different factors to determine the cause of ascites:
- Bacteria cultures and white blood cell counts. (These are used to determine the presence of infection.)
- Protein levels. Low levels of protein in the fluid plus a low white blood cell count suggest that cirrhosis is the cause of the ascites.
CIRRHOSIS CONVENTIONAL MEDICAL TREATMENT
Cirrhosis is usually permanent once you have developed it, but its progress can be slowed down by completely abstaining from alcohol, changing your diet to include fresh fruits and vegetables along with whole grains, and carefully checking to make sure any drugs you are taking are not toxic to the liver. Some drugs you are more dangerous in combination with each other than individually for people with cirrhosis. Also, many supplements and herbals can have an effect on the liver and they also need to be considered in the mix.
Check with your health care provider or pharmacist regarding the effects and possible harmful interactions.
Individuals with advanced stages of cirrhosis/liver damage may need to consult with their health care providers about surgery and liver transplant options and whether or not this option is available for you. There is a long waiting list of recipients for a liver transplant, it is a very expensive procedure that may or may not be covered by health insurance and the transplant guidelines have very strict limitations on who will be considered for this option. People who still consume alcohol or has active hepatitis will not usually be considered for the surgery. Age, general health and lifestyle habits may also be seriously considered during the screening process.
E-MedicineHealth: Liver Transplant Overview
The USC Liver Transplant Program: A Patient's Guide To Liver Transplant Surgery
American Liver Foundation: Liver Transplant
LIVER TRANSPLANT: TREATING END-STAGE LIVER DISEASE
Before making a decision about a liver transplant, learn about the organ transplant process, including getting listed in the organ recipient registry, the surgery itself, potential risks and follow-up care. The liver has a remarkable ability to regenerate itself, but it sometimes sustains severe damage that can not be reversed. In such cases, a liver transplant may be an option for some people. Although a liver transplant may be needed for sudden liver failure caused by toxins or severe infection, it is more often a final treatment option for long-term, progressive liver disease. Because many people must wait more than two years for a liver transplant, your health care provider may begin discussing transplantation with you long before you actually need it.
CONDITIONS LEADING TO LIVER TRANSPLANT
CIRRHOSIS: Irreversible damage to liver cells. This is the most common reason for liver transplants in adults. It occurs when scar tissue replaces healthy cells and prevents normal liver function. Conditions that may cause cirrhosis and the need for a liver transplant include:
- Chronic hepatitis B and C.
- Diseases of the bile ducts.
- Alcoholic liver disease.
- Autoimmune liver diseases.
- Buildup of fat in the liver.
In children, the conditions that most often cause liver damage that may lead to a transplant are:
- Defects in the liver or bile ducts present at birth.
- Metabolic disorders.
- Liver cancer.
- Sudden liver failure from drugs.
THE FIRST STEPS IN THE TRANSPLANT JOURNEY
If your health care provider recommends a liver transplant, you will likely be referred to a transplant center for an evaluation. Discuss with your health insurance provider which transplant centers are covered under your insurance plan. Most transplant programs offer the services of social workers and financial coordinators, who can help you work through financial issues associated with transplant surgery.
When selecting a transplant center, take into account the number of liver transplants the center performs each year and the recipient survival rates. You can compare transplant center statistics through a database maintained by the Scientific Registry of Transplant Recipients. In addition, consider support services provided by a transplant center. Many centers coordinate support groups, assist you with travel arrangements, help you find local housing for your recovery period or direct you to organizations that can help with these concerns.
Once you select a liver transplant center, expect to undergo an evaluation to determine whether you meet the transplant center's eligibility requirements. The evaluation will assess whether you:
- Have a medical condition that would benefit from a transplant.
- Are not likely to benefit from other treatment options.
- Are healthy enough to undergo surgery and post-transplant treatments.
- Are willing and able to take medications as directed.
- Have sufficient emotional stamina to undergo the wait for a donor organ and have a supportive network of family and friends to help you during this stressful time.
If liver failure is the result of alcohol or drug abuse, you will be evaluated to determine whether you currently abstain from use, have received adequate chemical dependency treatment and are at risk of using alcohol or drugs after the transplant.
WAITING FOR A DONOR ORGAN
If it is determined that you are a good candidate for a transplant, you will be registered on a nationwide waiting list. When a donor organ becomes available, the donor-recipient matching system, administered by United Network for Organ Sharing (UNOS), makes an appropriate match. Your medical team will assign you a score that represents how urgently you need a transplant in order to survive. For adults 18 years of age and older, the score is a number between 6 and 40 on a scale called the Model for End-Stage Liver Disease, or MELD. The higher the number, the more urgent the need for a transplant. Your MELD score may go up or down while you wait for a transplant. Your medical team will evaluate your status frequently and update your score as necessary. The Pediatric End-Stage Liver Disease, or PELD, scale is a similar 6- to 40-point scale for transplant candidates under the age of 18. An extremely urgent case, or status 1 liver failure, supersedes the MELD and PELD scores. These individuals have sudden or nearly complete liver failure and have a life expectancy of less than seven days.
LIVER TRANSPLANT PREPARATION
A liver transplant from a deceased donor (cadaver) needs to occur within 12 to 24 hours after the liver is removed from the donor for the organ to remain viable. The transplant center will most likely provide you with a pager or cell phone to notify you when a potential donor organ is available.
When you arrive at the hospital, a team will prepare you for surgery. The surgeon will also do a final assessment of the donor liver to ensure it is healthy and a good match.
Split- & Living-Donor Liver Transplants - The need for livers far outpaces the number of donations. On any given day, 15,000 to 17,000 people are waiting to receive a liver transplant in the United States, yet annually there are only enough available livers for about a third of them. One strategy to address the limited supply is to split a large and healthy liver from a deceased donor into two parts. Usually, an adult receives the right lobe (about 60 percent of the liver) and a child or adolescent receives the left lobe (about 40 percent). An even smaller portion may be used for an infant. Because of the liver's ability to regenerate itself, these partial organs will increase in size after being transplanted. Living-donor transplants are also becoming more common at some transplant centers. Living donors can donate part of their liver to a recipient, the right lobe to an adult or left lobe to a child or adolescent. The remaining portion of the donor's healthy liver regenerates itself to full size within a few weeks. Donors are at risk of certain complications, including infections, bleeding or abnormal liver function. Most of these problems eventually go away without long-term effects. There is also a very slight risk of death to the donor. To reduce the risk of complications, donors are carefully screened to assess their general health, liver health and risk of liver disease.
A liver transplant often takes three to five hours, but the time can vary significantly. The diseased liver is removed through an incision in your upper abdomen. The donor liver is then placed inside your abdomen, and blood vessels from your body are attached to those of the new liver. The bile duct of the donor liver is attached to your bile duct or to a segment of intestine so that bile can drain into your small intestine.
After the surgery, you will have some pain, which will be treated with medications. Recovery often involves a five- to 10-day hospital stay, depending on how well you and your new liver are doing. You will also undergo frequent assessments during the following two to four weeks and will be expected to have living accommodations within a relatively short commute of the transplant center.
AFTER THE SURGERY - POST-TRANSPLANT TREATMENT
Key to understanding post-transplant treatment is the concept that a transplanted organ is foreign tissue to your body. Your immune system will attack a new liver just as it would a viral infection. Your new drug regimen after the transplant will include immunosuppressants - medications that suppress the activity of your immune system - so that your immune system will not attack your transplanted liver. Because your immune system will most likely never get completely used to the new organ, you will take some of these medications for the rest of your life.
Because immunosuppressants make your body more vulnerable to infection, your health care provider may also prescribe antibacterial, antiviral and antifungal medications. Some immunosuppressants can also raise your risk of developing certain conditions or complicating others you may already have, such as high blood pressure, diabetes, high cholesterol and cancer. Your post-transplant treatment, therefore, will be a delicate balancing act focusing on preventing rejection, managing unwanted side effects and maintaining enough disease-fighting power to ward off infection. Your health care provider will monitor your treatment closely and adjust it as necessary. Along with taking medication, you will be expected to follow a diet and exercise routine designed to keep you and your new liver healthy.
NEW LIVER FAILURE - ORGAN REJECTION
Some transplanted livers lose their ability to function. Your new liver may fail because of organ rejection, because the underlying causes of liver disease damaged the new organ or because of other factors that could not be controlled. If this happens, you can be considered for a second transplant, or you may choose to discontinue treatment. These decisions will depend on your current health and ability to undergo surgery. Discussions with your transplant team, health care provider and family should address your expectations and preferences for treatment.
HERBAL RECOMMENDATIONS FOR LIVER SUPPORT
Alfalfa helps to build a healthy digestive tract and is a good source of Vitamin K. It helps to prevent bleeding as a result of vitamin K deficiency, which is common with cirrhosis. It can be taken in tablet or liquid form.
Aloe Vera helps to cleanse and heal the digestive tract. Drink 1/4 cup of aloe vera juice every morning and evening. Use an organic, pure juice with no added preservatives. It can be taken in a cup of herbal tea if you wish.
Burdock root, Dandelion, and Red Clover aid in liver repair by cleansing the bloodstream.
Use Celandine and Silymarin (Milk Thistle) Extract) daily to help maintain liver function. Silymarin has been shown in scientific studies to repair and rejuvenate the liver. Liv-R-Actin from Nature's Plus is a good source of milk thistle. Take 200 mg of silymarin (milk thistle extract) 3 times daily, before meals. Caution: Do not use Celandine during pregnancy.
Other herbs that can be beneficial for people with cirrhosis include ">Barberry, Black Radish, Echinacea, Fennel, Goldenseal, Hops, Horsetail, Irish Moss, Rose Hips, Suma, Thyme, and Wild Oregon Grape. Caution: Do not use barberry, goldenseal, or wild Oregon grape during pregnancy. Do not take goldenseal on a daily basis for more than one week at a time, and use it only under supervision if you have a history of cardiovascular disease, diabetes, or glaucoma.
HELP THE LIVER REGENERATE
The liver is the only organ that can regenerate itself if damaged. The amino acid Carnitine is known to help prevent buildup of fats. Lecithin helps the organ emulsify and process fats and Cysteine aids in detoxification.
LIVER HERBAL SUPPORT
Certain herbs strengthen the liver. Milk Thistle, Turmeric, Dandelion, and Burdock can help protect the liver from injury and repair existing damage. All these herbs help promote bile flow and also protect against degeneration and cirrhosis. St. John's Wort may also provide a calming influence on the nerves. Kudzu, available at health food stores, is reported to help decrease the cravings of alcohol.
MILK THISTLE TEA
Milk Thistle products that support liver function with herbs and important nutrients are available from health food stores. You can also make a tea at home by boiling 1 teaspoon of crushed milk thistle seeds in 1 cup of water. Steep for 20 minutes, then strain. Drink 1 cup of the tea 3 times a day for 6 weeks.
RECOMMENDED LIVER SUPPORT PRODUCTS
Burdock Herbal Products Carnitine Amino Acid Supplement Products Cysteine Amino Acid Supplement Products Dandelion Herbal Products Kudzu Herbal Products Lecithin Supplement Products Milk Thistle (Silymarin) Herbal Products St. John's Wort Herbal Products Turmeric Herbal Products
DIET & NUTRITION RECOMMENDATIONS
Obtain Protein from vegetable sources; do not eat foods containing animal proteins.
Eat a diet consisting of 75 percent raw foods. If cirrhosis is severe, consume only fresh vegetables and fruits and their juices for two weeks.
MoonDragon's Nutrition Therapy: Juicing
Increase your consumption of and include in your diet foods high in Potassium, such as Bananas, Blackstrap Molasses, Brewer's Yeast, Dulse, Kelp, Prunes, Raisins, Rice and Wheat Bran.
Eat plenty of foods high in Vitamin K. Persons with cirrhosis of the liver are often deficient in vitamin K. Good food sources of vitamin K include Alfalfa Sprouts and Green Leafy vegetables.
Include legumes (Kidney Beans, peas, and Soybeans) and seeds in your diet. These foods contain the amino acid Arginine, which helps to detoxify ammonia, a byproduct of protein digestion.
Drink fresh vegetable juices, such as Beet, Carrot, Dandelion extract, and Green Drinks. See Juicing Therapy for more information.
Drink plenty of Water (steam-distilled or quality bottled water) or sip Barley water throughout the day. When taking supplements, always take them with a full glass of water.
MoonDragon's Nutrition Therapy: Barley Water
Use only cold-pressed vegetable oils as sources for dietary fats. Consume oils in uncooked form only, such as in salad dressings.
Limit your intake of fish - haddock, bluefish, salmon, and sardines - to a maximum of 2 servings a week, and do not eat raw or under cooked seafood. A damaged liver cannot handle the amount of vitamin A contained in these foods. Avoid cod liver oil.
Keep the colon clean. Toxins accumulate in the liver and must be excreted via the colon and kidneys.
MoonDragon's Health Therapy: Colon Cleansing
Avoid constipating foods. The liver has to work twice as hard if you are constipated. Be sure your diet contains sufficient amounts of Choline, Inositol, and Lecithin, as well as bulk and Fiber. Make sure you are getting plenty of fluids in your daily diet to help prevent constipation.
Do not use harsh laxatives to cleanse the system. Lemon enemas are preferred; take these twice weekly. You can also alternate Wheatgrass enemas with Coffee enemas for two weeks. Both of these detoxify the system.
MoonDragon's Health Therapy: Enemas
Do not take any drugs (over-the-counter or prescription) except for those prescribed by your health care provider. Some over-the-counter products, including some medicines for children, contain alcohol in the form of propylene glycol. This product may cause liver problems and a mild form of drunkenness.
Perform a 3 day fast once every 30 days. To help cleanse the liver while fasting, drink Beet Juice, Carrot Juice, Black Radish Extract, and Dandelion Extract. Chlorophyll. Distilled Water with Lemon are excellent blood purifiers and liver cleansers. Regular cleansing of the body, especially the liver, is vital to maintaining good health.
Avoid coffee, fowl, meat, salt, soft drinks, sugar, tea, and spicy foods. Do not consume alcohol in any form. Also eliminate the following from your diet: animal products, including milk, candies, pastries, pepper, spices, stimulants of any kind including caffeine and colas, white rice, products containing white flour. Virtually all commercial prepared foods contain some of the above.
Read all food labels carefully, and avoid most fats. Do not eat any of the following: butter, margarine, vegetable shortening, and any other hardened fats; fried or fatty foods; melted or hard cheeses; nuts or oils that have been subjected to heal (either in processing or in cooking); potato chips; and all refined and processed foods. These overwork and damage the liver.
Do not smoke and avoid second hand smoke.
If alcoholic cirrhosis is detected in the early stages and the individual stops consuming alcohol, it may be possible to halt the damage to the liver.
In one study, people with cirrhosis of the liver have been found to have an imbalance of essential fatty acids, which are needed for cell production. After taking 10 capsules of primrose oil daily for three weeks, these individuals showed a marked improvement in the balance of their fatty acids.
Animal studies indicate that the typical American diet is damaging to the liver. Improper diet results in allergies, digestive disorders, a low energy level, and an inability to detoxify harmful substances.
The four basic reasons for poor liver function are:
1. The presence of cumulative poisons. Insecticides, preservatives, and other toxins can build up in and impair the liver. Even though a particular toxin may not accumulate in the liver, liver function may suffer if the functioning of other organs, especially the pancreas and/or kidneys, is adversely affected by the toxin.
2. An improper diet. A diet that is low in protein and high in carbohydrates and fats, especially saturated fats, fried foods, and hydrogenated fats, is hard on the liver and may not provide sufficient protein building blocks necessary for repair. Poor food choices include processed foods, junk foods, refined white flour products, white sugar products, and imitation foods that are designed to appear and taste like an original product but that have been robbed of natural vitamins, minerals, and enzymes.
3. Overeating. Overeating is probably the most common cause of liver malfunction. Overeating creates excess work for the liver, resulting in liver fatigue. In addition, the liver must detoxify all of the various chemicals present in our food supply today. When the liver is overworked, it may not detoxify harmful substances properly.
4. Drugs. Drugs put a great strain on the liver. Drugs are substances that are foreign and unnatural to the body. These foreign substances cause the liver to work overtime in excreting these toxins. The liver neutralizes the effects of drugs on the body. Alcohol is particularly toxic to the liver. When excessive amounts of alcohol enter the liver, the liver begins to lose its functioning capacity. Other substances that can contribute to liver malfunction include oral contraceptives and caffeine.
Unless otherwise specified, the following recommended doses are for adults over the age of 18. For children between the ages of 12 and 17, reduce the dose to 3/4 the recommended amount. For children between the ages of 6 and 12 years old, reduce the dose to 1/2 the recommended amount. For children under 6 years old, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments
Fresh & Kyolic
Fresh: 2 Raw Garlic Cloves daily.
Extract: 900 mg daily or as directed on label.
Kyolic Garlic: 2 tablets 3 times daily, with meals.
Liquid Kyolic: As directed on label.
Liquid Kyolic recommended. Take with Vitamin B-1 & Vitamin B-12. An excellent liver detoxifier and detoxifies the bloodstream. Phosphatidyl Choline
Choline & Inositol
As directed on label. For fatty liver. EFA Complex 500 mg twice daily, with meals. To prevent an imbalance of fatty acids, found in cirrhosis of the liver. Vitamin B-Complex 100 mg 3 times daily. Amounts of individual vitamins in a complex will vary. The B vitamins are necessary for proper digestion, absorption of nutrients, and formation of red blood cells. Use a high-potency formula. Injections may be necessary under a health care provider's supervision. Plus Extra
Vitamin B-1 (Thiamin)
As directed on label. B vitamins work best when taken together. Deficiency in the heart muscle leads to heart disease. Lowers cholesterol and improves circulation. Plus Extra
1,000 to 2,000 mcg daily. To prevent anemia and protect against nerve damage. Use a lozenge or sublingual form, if available. Injections may be necessary. And
200 mcg daily. To correct deficiencies.
Bifidus As directed on label. Take on an empty stomach. Repairs liver cells and aids in healing. Kyo-Dophilus 2 to 3 capsules 3 times daily. Human cultured flora from the small intestine, primarily to improve assimilation of nutrients. Detoxifies ammonia. Inflazyme Forte As directed on label. Balanced potent enzymes that act to inhibit inflammation. L-Arginine
500 mg each daily, on an empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg Vitamin B-6 and Vitamin C for better absorption. Helps to detoxify ammonia, a byproduct of protein digestion that can accumulate when the liver is not functioning properly. Helps detoxify harmful toxins. Aids in liver detoxification. And
500 mg daily, on an empty stomach. Carnitine helps prevent accumulation of fat in the liver. Glutathionine is a powerful antioxidant that protects against liver cancer. Lecithin 1 tablespoon granules 3 times daily with meals.
2,400 mg capsules 3 times daily, with meals.
A powerful fat emulsifier. Multi-Enzyme Complex
As directed on label. Take with each meal. Needed for digestion to lessen the strain on the liver. Ox Bile Extract As directed on label. Replaces the digestive enzymes normally produced by the gallbladder. Colostrum As directed on label. Improves immune function and protects the liver. Probiotics As directed on label. A non-dairy unfrigerated acidophilus formula that acts as a detoxifier. And
Raw Liver Extract
As directed on label. Prevents anemia and aids in building the liver. And
As directed on label. Provides antioxidant effects that improve the health of the liver. Caution: Do not use if you have manic depressive disorder or take prescription antidepressants. Taurine As directed on label. The most important antioxidant for health and stress from free radical damage. Use the sublingual form, if available. Milk Thistle
200 mg Milk Thistle (Silymarin) 3 times daily, before meals. Repairs and rejuvenates the liver and helps maintain liver function.
As directed on label. Helps build a healthy digestive tract and a good source of vitamin K. And
1,500 mg daily in divided doses, after meals and at bedtime. To promote healing of tissue. And
750 mg daily. Needed to balance with calcium. Beneficial for the nervous system. And
As directed on label. Supplies oxygen for healing. And
3,000 to 8,000 mg daily in divided doses. An important antioxidant. Use a buffered form.
Alpha Lipoic Acid
400 mg daily. Acts as a powerful antioxidant and balances blood sugar levels. And
100 mg daily. Promotes tissue oxygenation. And
As directed on label. Works with Coenzyme Q-10 and removes toxic substances from the body. And
Free Form Amino Acid Complex
As directed on label. A good source of protein that is easy on the liver. And
As directed on label. Powerful antioxidant. Aids the liver in removing toxic substances. And
Inositol Hexaphosphate (IP-6)
As directed on label. Aids in reducing the buildup of fats in the liver. And
200 mcg daily. Do not exceed a total daily intake of 800 mcg daily from all sources, including diet. If you are pregnant, do not exceed 40 mcg daily. A good detoxifier. Caution: Do not take supplemental selenium if you are pregnant or have heart, kidney, or liver disease. And
(Micellized Vitamin A Emulsion)
As directed on label. Do not exceed 10,000 IU daily. Needed for healing. Use emulsion form for easier assimilation and greater safety at higher doses. Caution: Do not substitute pill forms of vitamin A for emulsion. Pills put extra stress on the liver. And
As directed on label. To correct deficiencies. And
200 IU daily. Do not exceed this amount. A potent antioxidant that aids circulation. Use d-alpha-tocopherol form. And
50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Needed for the immune system. Improves immune function and helps in the healing and repair of tissues. Use zinc gluconate lozenges or OptiZinc for best absorption. And
As directed on label. Take between meals. A vegetable protein drink that supplies essential amino acids and stabilizes the blood sugar. It comes in assorted flavors and two sizes.
NOTIFY YOUR HEALTH CARE PROVIDER
If you or a family member has symptoms of alcoholism or any of the diseases often seen related with alcoholism, such as liver disease, diabetes, gastric problems and so forth.
Call 9-1-1 if you, a friend or a family member exhibits signs of alcohol poisoning. Alcohol toxicity can be life-threatening and fatal.
HELPFUL RELATED LINKS
MoonDragon's Nutrition Information Index - Diets, Food Guide, Therapy
MoonDragon's Women's Health Information: Smoking
MoonDragon's Health & Wellness: Alcoholism Overview
MoonDragon's Women's Health Information: Alcoholism Discussion, Treatment, & Nutrition
MoonDragon's Women's Health Information: Hepatitis
MoonDragon's Health & Wellness: Autoimmune Hepatitis
MoonDragon's Health & Wellness: The Liver
LIVER FORMULA SUPPORT SUPPLEMENT PRODUCTS
QUALITY SUPPLIES & PRODUCTS
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ALCOHLIVER FIX SUPPLEMENT PRODUCTS
AlcohLiver Fix herbal supplement is made of extracts from Schisandra, White Peony, and Milk Thistle, this well-known formula is used in traditional Chinese medicine for its liver nurturing and restoring, detoxifying, virus inhibiting properties to maintain healthy liver and its functions,
CHINESE HERBS DIRECT PRODUCTS
Chinese Herbs Direct: AlcohLiver Fix, Yanggan, 100% Natural, Balanceuticals, 500 mg, 60 VCaps
TCM daily supplement used to detoxify and restore healthy liver functions.
HerbsPro: AlcohLiver Fix, Balanceuticals, 500 mg, 60 VCaps (74643)
HerbsPro: Alcohliver Fix, Balanceuticals, 60 Caps
A liver defender that uses the most advanced extraction skills. It extracts magnoliavine fruit, white peony root and milk thistle's ingredients. Its effect is obvious. It is safe to use. It is called the ace of the 21st century natural liver drug. As a dietary supplement, take 3 capsules 3 times daily 30 minutes before meal. Store in a cool and dry place out of the reach of children. Not for use by pregnant woman.
Nutrition Basics: Liver Formula Supplement Information
HERBAL DETOX SUPPLEMENT PRODUCTS
HerbsPro: Herbal Detox (Red Clover Stillingia Compound), Herb Pharm, 1 fl. oz. (39419)
HerbsPro: Herbal Clean FIXX Detox, Totally Tropical, BNG Enterprises, 2 oz. (51125)
HerbsPro: Herbal Tonic, Cyclone Cider, 2 fl. oz. (14804)
HerbsPro: Herbal Detox (Red Clover Stillingia Compound), Herb Pharm, 4 fl. oz. (32202)
HerbsPro: Herbal Tonic, Cyclone Cider, 4 fl. oz. (14803)
Taken daily, this zesty tonic with the wake-up taste has been helping thousands maintain health and vitality. This pure, fast-acting and easy-to-assimilate tonic can help you feel your best, too. Here are some of its powerful, effective uses: Support of immune system. Daily promotion of health and circulation. Relief from minor colds, sore throats, coughs, congestion, and sluggishness. Protect from exposure to cold weather and climate changes. Throat tonic for singers and speakers. Cleansing programs for fasting and a morning flush. Cayenne Pepper is high in Vitamin C with stimulating, astringent properties that promotes circulation. Garlic is nature's antibiotic that supports the immune system. Onion is garlic's buffer that cleanses and stimulates. Horseradish Root is stimulating and cleansing. Ginger Root benefits intestines and stimulates digestion. Parsley is a natural diuretic and source of chlorophyll.
Nutrition Basics: Blood Cleanse Supplement Information Nutrition Basics: Liver Formula Supplement Information
LIVER CARE, CLEANSE & DETOX SUPPLEMENT PRODUCTS
AYURVEDIC HERBS DIRECT PRODUCTS
Ayurvedic Herbs Direct: Liver Formula, Banyan Botanicals, 500 mg, 90 Tabs
Liver Formula (Banyan) is an excellent detoxifier and rejuvenative for the liver. Cooling herbs such as guduchi, musta and coriander pacify pitta in the liver, reducing the production of bile and acid in the body, and thereby reducing the risk of many associated liver disorders. Healthy digestion is also promoted, aiding in conditions of a sluggish or congested liver. Liver Formula may be beneficial for all individuals, as it helps reduce the toxic effects from food, alcohol, drugs, and environmental pollution.
HerbsPro: Liver Health Natural Guide, Woodland Publishing, 32 Page Booklet (90287)
HerbsPro: Liver Guard, NAC Silymarin & CoQ10, 30 Tabs (7041)
HerbsPro: Liver Support Factors, Country Life, 50 Tabs (37270)
HerbsPro: Ultimate Liver Cleanse, Natures Secret, 60 Tabs (17694)
HerbsPro: Liver Guard, NAC Silymarin & CoQ10, Source Naturals, 60 Tabs (7042)
HerbsPro: Dr. Murrays Liver Health Formula, Natural Factors, 60 Caps (84396)
HerbsPro: Super Thisilyn Liver Gall Bladder Formula, Natures Way, 60 VCaps (62674)
HerbsPro: Liverite Liver Aid, Supports Liver Function, Liverite, 60 Tabs (49845)
HerbsPro: Liver Gallbladder Formula, Bioforce USA, 60 Tabs (70803)
HerbsPro: All Liver, Natural Sources, 60 Caps (27808)
HerbsPro: Liver-DX, FoodScience of Vermont, 60 Caps (67153)
HerbsPro: LiverClean, Ridgecrest Herbals, 60 Caps (45014)
HerbsPro: Liver Detox Fuel, Detoxifying Formula, TwinLab, 60 Caps (74627)
HerbsPro: Maximum Liver Cleanse, Supplement Training Systems, 60 VCaps (94042)
HerbsPro: Liver Sense, Natural Balance, 60 VCaps (89885)
HerbsPro: Bupleurum Liver Cleanse, Planetary Herbals, 72 Tabs (6476)
HerbsPro: Complete Liver Cleanse, Enzymatic Therapy, 84 Ultracaps (67589)
HerbsPro: Wellness Nutrition Liver Cleanse Liver Cleanse, Champion Nutrition, 90 Caps (77242)
Improves Nutrient Absorption, Protects and Detoxifies, Extends Metabolic Capacity. Contains Milk Thistle that protects each cell of the liver from incoming toxins, but simultaneously encourages the liver to cleanse itself of damaging substances, such as alcohol, drugs, medications, mercury and heavy metals, and pesticides; Artichoke leaf for increasing bile production and protection of the liver, helping to regenerate the liver, and enhancing overall liver function; Trimethylglycine, a very important ingredient for proper liver function, cellular replication, and detoxification reactions and its ability to help the liver process fats (lipids); Vitamins A, C, and E - Beta Carotene and antioxidants that aid in recovery and prolonged protection.
HerbsPro: Liver Kidney Care, Organic India, 90 Caps (86750)
HerbsPro: Liver Cleanse, Health Plus, 90 Caps (15454)
HerbsPro: Liver PF (Protective Factors For Liver Health), Jarrow Formulas, 90 Tabs (66550)
HerbsPro: Liver Detoxinate, Life-Flo, 90 Caps (51247)
HerbsPro: Liver Detoxifier & Regenerator, Now Foods, 90 Caps (68064)
HerbsPro: Siliphos Supports Liver Function, Now Foods, 90 VCaps (112633)
HerbsPro: Liver Support Factors, Country Life, 100 Tabs (37269)
The liver is the most chemically complex organ in the body. Hypoallergenic, vegetarian and kosher, Liver Support Factors features herbs from China, Europe and India with essential nutrients and nutraceuticals to support healthy liver function. A comprehensive herbal and nutrient formula designed to help support normal liver function.
HerbsPro: Liver Clean, Dr. Venessas Formulas, 100 Tabs (72370)
Liver clean is scientifically formulated with 26 natural ingredients to protect and detoxify the liver, to purify the blood stream, improve bile secretions and keep the kidneys functions healthy.
HerbsPro: Candida Liver Care (Stay Sober), Kroeger Herb, 100 Caps (74824)
HerbsPro: Liver Caps (Liver Glandular Powder With Silymarin & Eleuthero), Now Foods, 100 Caps (68421)
HerbsPro: Liver & Gall Bladder Formula, Dr. Christophers Formulas, 100 VCaps (39803)
HerbsPro: Liver Transition Formula, Dr. Christophers Formulas, 100 VCaps (39805)
HerbsPro: Liver Guard, NAC Silymarin & CoQ10, Source Naturals, 120 Tabs (7043)
This product has been specially formatted to provide nutrients essential for healthy liver function. Liver Guard is a Bio-Aligned Formula, designed to protect and defend you from the toxins and pollution that pervade the environment. Liver Guard addresses multiple body systems involved with optimal liver function, which is crucial to detoxification: liver cleansing and restoration, fat metabolism, antioxidant production and defense, and energy generation. Lipoic acid, silymarin and N-acetyl cysteine (NAC) are potent antioxidants that support healthy liver function. NAC is a precursor to glutathione, one of the liver's primary free-radical scavengers. And silymarin, the active flavonoid complex of the herb milk thistle, has been shown in vitro to inhibit lipid peroxidation of cell membranes.
HerbsPro: Bupleurum Liver Cleanse, Planetary Herbals, 150 Tabs (13055)
HerbsPro: Liver Detoxifier & Regenerator, Now Foods, 180 Caps (76114)
Liver Formula is a proprietary blend of herbs and nutrients designed to support healthy liver function. Liver Formula contains Milk Thistle Extract, which has been shown in clinical and non-clinical studies to support the liver, as measured by standard liver enzyme laboratory tests. In addition, Liver Formula contains N-Acetyl Cysteine and Methionine, two amino acids known to enhance the production of glutathione in the liver. Glutathione, a major cellular antioxidant, plays an essential role in liver detoxification mechanisms. Also included in this Liver Formula are other herbs (Schisandra, Bupleurum, and Scute) that have been shown in non-clinical studies to support healthy liver function.
HerbsPro: Reishi Liver Guard Herb Tea, Health King, 20 Tea Bag (51194)
HerbsPro: Liver Detox Spray, Liddell Labs, 1 oz. (84847)
HerbsPro: Healthy Liver Tonic Extract, Herb Pharm, 1 fl. oz. (39431)
HerbsPro: Liver Cleanse Extract, Alcohol Free, Natures Answer, 1 fl. oz. (17244)
HerbsPro: Liver Tone Extract, Alcohol Free, Natures Answer, 1 fl. oz. (17245)
HerbsPro: Liver Detox, Homeopathic Formula, King Bio Natural Medicines, 2 oz. (49336)
HerbsPro: Daily Detox Liver Enhancer, Herbasway, 2 oz. (49936)
HerbsPro: Liver & Gallbladder Extract, Dr. Christophers Formula, 2 fl. oz. (39804)
HerbsPro: Healthy Liver Tonic Extract, Herb Pharm, 4 fl. oz. (32201)
Healthy Liver Tonic is a liver and gallbladder tonic. Can be used as an occasional maintenance tonic, or to cleanse and strengthen after illness or abuse, or in the treatment of hepatic & biliary illness (acute or chronic). Indicated in hepatic torpor, hepatitis, jaundice, sluggish bile and gallstones, and as adjunct therapy in chronic constipation. Also used for post-surgical treatment in cases of cholecystectomy (gall bladder removal).
HerbsPro: Liver Powder, Hormone-Free Argentine Beef Liver, Now Foods, 12 oz. (68422)
Nutrition Basics: Liver Formula Supplement Information
LIQUID LIVER EXTRACT PRODUCTS
HerbsPro: Energizing Iron Liquid Liver Extract, Enzymatic Therapy, 90 Softgels (20730)
Amazon: Liquid Liver Extract Products
Nutrition Basics: Glandular Supplement Information Nutrition Basics: Liver Formula Supplement Information
LIVER GLANDULAR SUPPLEMENT PRODUCTS
The liver is one of the largest organs. It is located in the upper right abdomen immediately under the diaphragm and attached to it by ligaments. The liver is involved in many significant body functions, such as affording protection against disease, supplying sugar to meet the needs of muscle tissues and regulating clotting of the blood.
HerbsPro: Liver Powder, Now Foods, 12 oz. (68422)
HerbsPro: Desiccated Liver, Solgar, 713 mg, 100 Tabs (36352)
HerbsPro: Desiccated Liver, Solgar, 713 mg, 250 Tabs (36353)
HerbsPro: Liver Beef Natural Glandular Powder, Nutricology, 1400 mg, 200 Grams (94439)
Kalyx: Ultra Raw Liver Extract, Ultra Glandulars, 8000 mg, 90 Tabs: HF
Supports Healthy Liver Function in easy to swallow tablets. The Liver, one of the largest organs, is located in the upper right abdomen immediately under the diaphragm and attached to it by ligaments. The liver is involved in many significant body functions, such as affording protection from disease, supplying sugar to meet the needs of muscle tissues and regulating clotting of the blood.
Kalyx: All Liver Raw Liver Glandular Concentrate, Natural Sources, 60 Caps: HF
Amazon: Liver Beef Glandular, Allergy Research Group, 500 mg, 125 Caps
Amazon: Raw Liver Glandular, Swanson Premium, 500 mg, 60 Caps
Amazon: Raw Liquid Liver Extract, Ultra Glandulars, 90 Caps
Amazon: Raw Liver Concentrate, Ultra Glandulars, 8000 mg, 90 Tabs
Nutrition Basics: Glandular Supplement Information Nutrition Basics: Liver Formula Supplement Information
AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES
Allspice Leaf Oil Angelica Oil Anise Oil Baobab Oil Basil Oil Bay Laurel Oil Bay Oil Benzoin Oil Bergamot Oil Black Pepper Oil Chamomile (German) Oil Cajuput Oil Calamus Oil Camphor (White) Oil Caraway Oil Cardamom Oil Carrot Seed Oil Catnip Oil Cedarwood Oil Chamomile Oil Cinnamon Oil Citronella Oil Clary-Sage Oil Clove Oil Coriander Oil Cypress Oil Dill Oil Eucalyptus Oil Fennel Oil Fir Needle Oil Frankincense Oil Geranium Oil German Chamomile Oil Ginger Oil Grapefruit Oil Helichrysum Oil Hyssop Oil Iris-Root Oil Jasmine Oil Juniper Oil Labdanum Oil Lavender Oil Lemon-Balm Oil Lemongrass Oil Lemon Oil Lime Oil Longleaf-Pine Oil Mandarin Oil Marjoram Oil Mimosa Oil Myrrh Oil Myrtle Oil Neroli Oil Niaouli Oil Nutmeg Oil Orange Oil Oregano Oil Palmarosa Oil Patchouli Oil Peppermint Oil Peru-Balsam Oil Petitgrain Oil Pine-Long Leaf Oil Pine-Needle Oil Pine-Swiss Oil Rosemary Oil Rose Oil Rosewood Oil Sage Oil Sandalwood Oil Savory Oil Spearmint Oil Spikenard Oil Swiss-Pine Oil Tangerine Oil Tea-Tree Oil Thyme Oil Vanilla Oil Verbena Oil Vetiver Oil Violet Oil White-Camphor Oil Yarrow Oil Ylang-Ylang Oil Aromatherapy
Healing Baths For Colds
Using Essential Oils
AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES
Almond, Sweet Oil Apricot Kernel Oil Argan Oil Arnica Oil Avocado Oil Baobab Oil Black Cumin Oil Black Currant Oil Black Seed Oil Borage Seed Oil Calendula Oil Camelina Oil Castor Oil Coconut Oil Comfrey Oil Evening Primrose Oil Flaxseed Oil Grapeseed Oil Hazelnut Oil Hemp Seed Oil Jojoba Oil Kukui Nut Oil Macadamia Nut Oil Meadowfoam Seed Oil Mullein Oil Neem Oil Olive Oil Palm Oil Plantain Oil Plum Kernel Oil Poke Root Oil Pomegranate Seed Oil Pumpkin Seed Oil Rosehip Seed Oil Safflower Oil Sea Buckthorn Oil Sesame Seed Oil Shea Nut Oil Soybean Oil St. Johns Wort Oil Sunflower Oil Tamanu Oil Vitamin E Oil Wheat Germ Oil
HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS
MoonDragon's Nutrition Basics Index MoonDragon's Nutrition Basics: Amino Acids Index MoonDragon's Nutrition Basics: Antioxidants Index MoonDragon's Nutrition Basics: Enzymes Information MoonDragon's Nutrition Basics: Herbs Index MoonDragon's Nutrition Basics: Homeopathics Index MoonDragon's Nutrition Basics: Hydrosols Index MoonDragon's Nutrition Basics: Minerals Index MoonDragon's Nutrition Basics: Mineral Introduction MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index MoonDragon's Nutrition Basics: Dietary Supplements Introduction MoonDragon's Nutrition Basics: Specialty Supplements MoonDragon's Nutrition Basics: Vitamins Index MoonDragon's Nutrition Basics: Vitamins Introduction
NUTRITION BASICS ARTICLES
MoonDragon's Nutrition Basics: 4 Basic Nutrients MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute? MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods MoonDragon's Nutrition Basics: Foods That Destroy MoonDragon's Nutrition Basics: Foods That Heal MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods MoonDragon's Nutrition Basics: Phytochemicals MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce MoonDragon's Nutrition Basics: Limit Your Use of Salt MoonDragon's Nutrition Basics: Use Proper Cooking Utensils MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water
RELATED MOONDRAGON HEALTH LINKS & INFORMATION
MoonDragon's Nutrition Information Index MoonDragon's Nutritional Therapy Index MoonDragon's Nutritional Analysis Index MoonDragon's Nutritional Diet Index MoonDragon's Nutritional Recipe Index MoonDragon's Nutrition Therapy: Preparing Produce for Juicing MoonDragon's Nutrition Information: Food Additives Index MoonDragon's Nutrition Information: Food Safety Links MoonDragon's Aromatherapy Index MoonDragon's Aromatherapy Articles MoonDragon's Aromatherapy For Back Pain MoonDragon's Aromatherapy For Labor & Birth MoonDragon's Aromatherapy Blending Chart MoonDragon's Aromatherapy Essential Oil Details MoonDragon's Aromatherapy Links MoonDragon's Aromatherapy For Miscarriage MoonDragon's Aromatherapy For Post Partum MoonDragon's Aromatherapy For Childbearing MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing MoonDragon's Aromatherapy Chart of Essential Oils #1 MoonDragon's Aromatherapy Chart of Essential Oils #2 MoonDragon's Aromatherapy Tips MoonDragon's Aromatherapy Uses MoonDragon's Alternative Health Index MoonDragon's Alternative Health Information Overview MoonDragon's Alternative Health Therapy Index MoonDragon's Alternative Health: Touch & Movement Therapies Index MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy MoonDragon's Alternative Health: Therapeutic Massage MoonDragon's Holistic Health Links Page 1 MoonDragon's Holistic Health Links Page 2 MoonDragon's Health & Wellness: Nutrition Basics Index MoonDragon's Health & Wellness: Therapy Index MoonDragon's Health & Wellness: Massage Therapy MoonDragon's Health & Wellness: Hydrotherapy MoonDragon's Health & Wellness: Pain Control Therapy MoonDragon's Health & Wellness: Relaxation Therapy MoonDragon's Health & Wellness: Steam Inhalation Therapy MoonDragon's Health & Wellness: Therapy - Herbal Oils Index
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MOONDRAGON'S REALM - WEBSITE DIRECTORY
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